Individual
JACLYN MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 MEDICAL PARK DR, SUITE 310, CONCORD, NC 28025-2948
(704) 403-2660
Mailing address
100 MEDICAL PARK DR, SUITE 310, CONCORD, NC 28025-2948
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2016-00270
NC
2084P0804X
Child & Adolescent Psychiatry Physician
2016-00270
NC
Other
Enumeration date
03/23/2011
Last updated
10/02/2019
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